SBAR HAND-OFF FORM. SBAR REPORT FORM. FORM 322-1015 11/09. S ( Situation). DIAGNOSIS: CODE: D FULL D PARTIAL D DNR D PALLIATIVE ...
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So this template that I'm suggesting welook at today is called the sbartemplate you know originally it wasdeveloped in the by the US Navy and itmade its way into health care in the 90sand actually it's recognized by theJoint Commission as being the bestpractice for effective communicationamong healthcare workers and caregiversI know this is a documentation class butI do want to point out this thisorganizing your thoughts in this way isan excellent way to conciselycommunicate verbally or even on thephone when you're leaving messages witha physician's office so the first pieceof this documentation template the sbartemplate is the situation that's whatthe S stands for and really they're whatwe're asking for you to put is a simplesentence or two about what your therapysession is going to be focused on forthe background piece of this templatewe're looking for you to provideinformation on relevant factors that aremay be impacting your therapy sessionand under assessment we want to see yourclinical statement of the situation howthe patient is progressing towards goalswhat is your clinical reasoning on howto move the patient forward what areyour skilled interventions you'reproviding and under recommendation it'sabout the action steps you're going totake to move that patient along in theirtherapy plan of care so like many of youprobably I learned the soap noteinitially in school and then I carrythat through in my work experience and Ireally think that the soap note washelpful for me to build my criticalthinking so I could reason how I'm goingto help my patient and provide greattherapy services however now much likeyou are we're really charged with theresponsibility of answering thosequestions that we talked about earlierwhich is really to communicate theskilled need of us to help that patientachieve their outcomes and overcometheir illness and disease